Individual provider · Type 1 NPI

Jason R. Broderick

Behavior Technician · Indianapolis, IN

NPI number 1033729645 Active

Practice location

6925 Parkdale Pl
Indianapolis, IN 46254-4673

Call (317) 597-4553 Map

Fax (317) 520-8200

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-19-82423 (IN)

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1033729645

Jason R. Broderick's National Provider Identifier is 1033729645, issued on Aug 7, 2020. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Indianapolis, IN. The record was last updated on Aug 7, 2020.